When your hormones shift, what you need is medical clarity.
You see a specialist by video. She works out what is going on, arranges diagnostics where they will help, and writes you a treatment plan of your own.

Does any of this sound familiar?
Find out how what you are feeling may connect to the menopause transition.
See all symptomsFrom your first consultation to a plan you can follow
The Fit Check takes two minutes and tells you whether gynxtra suits you. From there you choose an appointment. Everything else begins with the consultation itself: your specialist works out what has changed, and suggests tests only where they will actually shape what happens next.
After the Fit Check you pick your slot. You fill in the medical history questionnaire in your own time, then meet your specialist 1:1 by video. She places what you are experiencing in context and tells you what she recommends.
Only where it settles something for your treatment plan. Recent results you already have are taken into account.
You go through your results in a video consultation of its own, and leave with a treatment plan written for you.
If treatment is indicated, your doctor stays with you: regular reviews, and adjustments when your treatment needs them.

“Too many women over 38 are not taken seriously when they describe how their body has changed. I founded gynxtra because I believe a medically grounded answer is both possible and necessary.”
Midlife is a medical subject. We treat it like one.
Whether treatment is the right step is decided after the medical assessment, not before it. If it is, you get a therapy chosen for you and regular reviews with your doctor.
Hormone therapy and balance
For women in perimenopause or menopause who want their hormones looked after by a doctor.
Medical weight management
For women in midlife who are putting on weight, notice their appetite has changed, or whose metabolism is behaving differently.
Your care continues between appointments.
Once you are in ongoing care, your treatment plan, your appointments and your results sit together in the patient area. It is also where you can ask your medical team a question.
“It never occurred to me that the weight and the bad nights were connected. The doctor explained it all and gave me an actual plan.”
Monika R., 52Menopause
“Finally someone who took my symptoms seriously. The plan has changed my life. I sleep through the night again.”
Sandra K., 46Perimenopause
Illustrative patient voices. They reflect the kind of feedback we hear and are not attributed to named individuals.
Your medical assessment
The initial consultation is there to make your next medical step clear. Where it is indicated, targeted diagnostics fill in what a conversation cannot. And once treatment begins, a doctor stays with it.
Your 1:1 video consultation with your specialist, prepared for by the medical history questionnaire you fill in beforehand. You leave with her assessment and a clear recommendation for what comes next.
A review with your doctor every month. This is the cadence for stretches where the dose is still being found, or where how well the treatment works and how well you tolerate it needs watching closely. You can stop at any time, and the month you have already paid for simply runs to its end.
A review with your doctor every three months, once your treatment has settled. You pay for the three months up front. You can stop at any time, and the quarter you have already paid for runs to its end.
Where medically indicated: targeted diagnostics. Your doctor goes through the scope and the cost with you first.
If your body has changed, your next step should feel clear.
Two minutes with the Fit Check will tell you whether this approach suits you. If it does, you choose a slot for your initial consultation.
Your questions, answered.
The questions that come up most often before a first consultation. Anything beyond these, you can put to your specialist directly.
All questions and answersWho is gynxtra for?
gynxtra is for women between 38 and 65 living with perimenopausal or menopausal symptoms: broken sleep, hot flushes, weight gain, brain fog. The Fit Check takes two minutes and tells you whether that includes you.
What actually happens in the initial consultation?
Beforehand, you fill in a medical history questionnaire in your own time. In the 1:1 video consultation your specialist goes through your situation with you, places it in context, and says whether diagnostics would help and which ones. If you already have results from elsewhere, you look at them together there and then.
Will my health insurance cover this?
gynxtra services are self-pay services. gynxtra does not bill health insurers, and reimbursement through basic insurance is not available. Medication prescribed by your physician is also self-pay. What you do get is every price in advance.
When are diagnostics worth doing?
When further assessment would help, your doctor recommends targeted diagnostics. Recent results you already have are taken into account.
Will I automatically be prescribed hormones after the initial consultation?
No, nothing is automatic. Your doctor recommends a therapy only where it is medically indicated. For some patients, changes to lifestyle or other measures are the better answer. Your health and your safety come first.
What if I am already on hormones?
The initial consultation is also the right place to review an existing hormone therapy and refine it. Please note in the questionnaire which preparations you are currently taking.
Is medication included in the price?
No. Medication, and any further laboratory work, is billed separately. Neither is part of the price of your care.
